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DocPhilMD
DocPhilMD, Medical Doctor
Category: Endocrinology
Satisfied Customers: 57022
Experience:  Endocrinology Expert
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I have recently been diagnosed by my GP with subclinical

Resolved Question:

I have recently been diagnosed by my GP with subclinical hypothyroidism (with a TSH level of 4.0). I have been prescribed levothyroxine - 25 mg/day. I am concerned that this level is too conservative to begin with and will have no impact (I am female, 36 years, weights 60Kg, no heart conditions to other medical conditions). I would appreciate your advice.
Assistant: Any recent weight loss/gain? Are you excessively thirsty?
Customer: 3 kg weight gain over the past 3 months, not excessively thirsty. weight normally stable
Assistant: Anything else in your medical history you think the doctor should know?
Customer: No, very healthy otherwise - though experiencing some fatigue.
Submitted: 1 month ago.
Category: Endocrinology
Expert:  DocPhilMD replied 1 month ago.

Hello. I'm Dr. Phil, licensed and practicing internist. Excellent service is my goal.

Expert:  DocPhilMD replied 1 month ago.

that level can be adjusted

it is a good starting dose

I wouldn't go any higher than that right off the bat

is this helpful?

Customer: replied 1 month ago.
Thank you for your response. I was concerned as a friend of mine is a gp and suggested that she would start on a much higher dose of 100mg/daily (she said that was the current guideline for sub clinical patients of my gender, age etc). But good to have a second opinion. Thank you
Expert:  DocPhilMD replied 1 month ago.

Oh no way! You can throw someone hyperthyroid with that dose

let me know if you have other questions.

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you can always reach me with "a question for Dr. Phil" in the medicine, cardiology or pharmacy categories if you have any other questions

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